NLN MEDICATION EXAMINATION TEST
PAPER 2026 COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
⩥ 6 Rights of Medication Administration. Answer: 1. Right Person
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right medication
⩥ 3 Medication Checks. Answer: 1. When removing medication from
drawer/cart/pixis
2. Before dispensing medication
3. After dispensing medication but before giving it
⩥ Allergic/Hypersensitivity Reactions. Answer: Immune response - not a
side effect
Determined by degree of sensitization of the immune system
Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
,⩥ Absorption. Answer: Process of incorporating drug into blood
⩥ Distribution. Answer: Movement of drugs through the body
Transport via blood to site of action
⩥ Metabolism. Answer: Ability to change a drug biologically from its
original form into a water-soluble form so it can be excreted by the
kidneys
⩥ Excretion. Answer: Removal of drugs from the body
⩥ Agranulocytosis/Neutropenia/Agranulocytopenia. Answer: Acute
decrease int eh number of granulocytes/leukopenia (WBCs) in
peripheral blood
Causes: treatment with broad spectrum penicillin, sulfonamides, or
cephalosporin; bone marrow transplant; chemotherapy; radiation
Generally impaired resulting from bone marrow depression by drugs and
chemicals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high fever,
or UTI
May be asymptomatic
,⩥ Chelating Agents. Answer: A substance whose molecules can form
several bonds to a single metal ion
Involves oral administration or injection of Ethylene Diamine tetra
Acetic Avide
may be used to treat hardening of the arteries, heart attack, stroke,
arthritis, and gangrene - removes excess calcium from body
Used for lead poisoning and hypercalcemia
⩥ Ethylenediaminetetraacetic Acid (EDTA). Answer: Use in children
with a lead level between 45-70 micron/dL
Binds to lead in blood and excreted by bowel and kidney
May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
- Give q4h 5 days
- Second course may be needed if there is a rebound in blood level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
⩥ British AntiLeistie (BAL). Answer: Do not give with iron supplement
Avoid in patients with plant allergy
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
, ⩥ Succimer (Chemer/Chemet). Answer: Chemet = oral
Used to treat lead poisoning
Do not give in patient with encephalopathy
⩥ Epistaxis. Answer: Nose bleed
Posterior is more serious
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach --> n/v
Treatment: cauterization with silver nitrate, calcium alginate mesh, nasal
cavity packed with sterile dressing ribbon gauze, absorbent dressing or
saline sprayed into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
⩥ Half-life. Answer: Time it takes for a medication to lose 1/2 its
pharmacological or physiologic effect
⩥ Paradoxical Reaction. Answer: Response to drug that is the opposite
of the usual response
⩥ -teron. Answer: Androgens
PAPER 2026 COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
⩥ 6 Rights of Medication Administration. Answer: 1. Right Person
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right medication
⩥ 3 Medication Checks. Answer: 1. When removing medication from
drawer/cart/pixis
2. Before dispensing medication
3. After dispensing medication but before giving it
⩥ Allergic/Hypersensitivity Reactions. Answer: Immune response - not a
side effect
Determined by degree of sensitization of the immune system
Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
,⩥ Absorption. Answer: Process of incorporating drug into blood
⩥ Distribution. Answer: Movement of drugs through the body
Transport via blood to site of action
⩥ Metabolism. Answer: Ability to change a drug biologically from its
original form into a water-soluble form so it can be excreted by the
kidneys
⩥ Excretion. Answer: Removal of drugs from the body
⩥ Agranulocytosis/Neutropenia/Agranulocytopenia. Answer: Acute
decrease int eh number of granulocytes/leukopenia (WBCs) in
peripheral blood
Causes: treatment with broad spectrum penicillin, sulfonamides, or
cephalosporin; bone marrow transplant; chemotherapy; radiation
Generally impaired resulting from bone marrow depression by drugs and
chemicals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high fever,
or UTI
May be asymptomatic
,⩥ Chelating Agents. Answer: A substance whose molecules can form
several bonds to a single metal ion
Involves oral administration or injection of Ethylene Diamine tetra
Acetic Avide
may be used to treat hardening of the arteries, heart attack, stroke,
arthritis, and gangrene - removes excess calcium from body
Used for lead poisoning and hypercalcemia
⩥ Ethylenediaminetetraacetic Acid (EDTA). Answer: Use in children
with a lead level between 45-70 micron/dL
Binds to lead in blood and excreted by bowel and kidney
May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
- Give q4h 5 days
- Second course may be needed if there is a rebound in blood level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
⩥ British AntiLeistie (BAL). Answer: Do not give with iron supplement
Avoid in patients with plant allergy
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
, ⩥ Succimer (Chemer/Chemet). Answer: Chemet = oral
Used to treat lead poisoning
Do not give in patient with encephalopathy
⩥ Epistaxis. Answer: Nose bleed
Posterior is more serious
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach --> n/v
Treatment: cauterization with silver nitrate, calcium alginate mesh, nasal
cavity packed with sterile dressing ribbon gauze, absorbent dressing or
saline sprayed into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
⩥ Half-life. Answer: Time it takes for a medication to lose 1/2 its
pharmacological or physiologic effect
⩥ Paradoxical Reaction. Answer: Response to drug that is the opposite
of the usual response
⩥ -teron. Answer: Androgens
